"もやもや"病の外科治療

概要

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Since 1975 we have reported good results of surgical therapy for patients with "Moyamoya" disease.<BR>Thirty-seven patients with "Moyamoya" disease who revealed cerebral ischemic symptoms were operated; ST-MC anastomosis was performed on 30 cases, encephalo-myo-synangiosis, muscle transposition to the surface of the brain, was done on 10 cases and omentum transplantation to the surface of the brain was done on 1 case respectively. Twenty-four patients were operated bilaterally and 13 patients were done unilaterally.<BR>Cerebral angiograms during the follow-up period after operation revealed shrinkage (decrease or diminition) of basal moyamoya vessels along with extensive filling of cortical branches of the middle cerebral artery. Basal moyamoya vessels were diminished remarkably in 1 case, moderately in 21 cases slightly or rarely in 13 cases and increased in 1 case.<BR>The satisfactory operative results were obtained as follows: 20 cases were excellent; 11 cases were good; 4 cases were fair and 2 cases were unchanged.